Khawaja Ali Hassan, Physician, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

KHAWAJA ALI HASSAN, PHYSICIAN, PC

Practice address

36 Lincoln Ave
Rockville Centre, NY 11570-5768

Phone

(516) 678-4451

NPI assigned

Jun 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khawaja Ali Hassan, MD FACSNPI 1639265416

Title

Owner

Phone

(516) 678-4451

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khawaja Ali Hassan, M.D.

  • Plastic Surgery Physician
  • Rockville Centre, NY
  • NPI 1639265416
  Medicare reassignment NPD Authorized official
• Todd R. Coven, M.D.

  • MOHS-Micrographic Surgery Physician
  • Huntington Station, NY
  • NPI 1215943121
  NPD (past)
• Isabella Ilarda, MD

  • Dermatology Physician
  • Middle Village, NY
  • NPI 1982619318
  NPD (past)
• Matthew Brett Quan, M.D.

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1578535910
  NPD (past)
• Humayun Waheed, MD

  • Specialist
  • Rockville Centre, NY
  • NPI 1538255310
  NPD (past)
• Xuan Wang, M.D. PH.D.

  • Anatomic Pathology Physician
  • Woodbury, NY
  • NPI 1578706032
  NPD (past)
• Jordan Spence Zuckerman, M.D.

  • Procedural Dermatology Physician
  • Bayside, NY
  • NPI 1043205016
  NPD (past)
• Michael Edward Ford, O.D.

  • Optometrist
  • Martinsville, VA
  • NPI 1922008952
  NPD (past)
• Erin A O'Leary, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fall River, MA
  • NPI 1255467833
  NPD (past)
• Shimon Oami, M.D.

  • Dermatopathology (Pathology) Physician
  • Chattanooga, TN
  • NPI 1831253640
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1104189406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LINCOLN AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705768",
            "telephone_number": "516-678-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LINCOLN AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705768",
            "telephone_number": "516-678-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAWAJA ALI HASSAN, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "KHAWAJA",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-678-4451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Kessler, M.D.
• Laura B Kestemberg, PH.D.
• KH Plastic Surgery PC
• Jihane Khachab
• Nushin Khan, M.D.
• Teresa Kiernan
• Joanne J Kim, LCSW
• Julie L Kingsley, LCSW
• April J Kinney, LMSW
• Jared A. Kipnis, PT, DPT, COMT

• Plastic and Reconstructive Surgery Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.